Facial masculinisation surgery (FMS):
defines and strengthens facial features

Facial masculinization (FMS) Facial Masculinization Surgery

Facial masculinization (FMS)
FTM facial surgery to define masculine features

MADRID | ZURICH

Secondary surgery in trans women aims to correct, optimize, or complete the results obtained after previous gender-affirming interventions. This is within the context of transition. MTF (Male-to-Female), These surgeries can be performed after procedures such as vaginoplasty, facial feminization (FFS), body feminization, or breast augmentation.

In some cases, secondary surgery allows for the treatment of postoperative complications or the improvement of aesthetic results that have not progressed as expected after the initial procedure. In others, the goal is to refine specific anatomical aspects or complete procedures that require more than one surgical stage.

Revision surgeries require particularly careful planning, as they involve working on previously operated tissues. For this reason, the medical evaluation includes an analysis of the techniques used previously, the current state of the tissues, and each patient's goals.

Dr. Richard Fakin has extensive international experience in primary and secondary surgery within the field of gender affirmation surgery and surgery MTF, addressing complex revisions with a reconstructive and aesthetic approach aimed at achieving safe and natural results.

  • DURATION 60 – 180 minutes
  • DISCHARGE FROM THE CLINIC The same day or the next day
  • BACK TO WORK 7 - 10 days
  • DURATION 60 – 180 minutes
  • DISCHARGE FROM THE CLINIC The same day or the next day
  • BACK TO WORK 7 - 10 days
  • SUITABLE FOR SOCIETY 7 days
  • ANESTHESIA General or sedation
  • FULL RECOVERY Between 3-6 weeks
  • SUITABLE FOR SOCIETY 7 days
  • ANESTHESIA General or sedation
  • FULL RECOVERY Between 3-6 weeks

Instructions

When can facial masculinization be considered?

Facial masculinization can be considered when a person wishes to modify certain facial structures to achieve more masculine and defined features.

In the case of trans men undergoing FTM transition, these procedures can help harmonize facial proportions and reinforce certain features typically associated with a masculine face. Depending on the individual case, facial masculinization can contribute to:

  • define the mandibular contour
  • project your chin
  • modify the shape of the nose
  • redistribute facial volume
  • reduce lip volume

Treatment planning is always carried out after an individualized medical assessment, taking into account the facial anatomy and the goals of each patient.

Surgical techniques

Procedures used in facial masculinization

Facial masculinization can include different procedures designed to modify the bone structure and soft tissues of the face to achieve a more masculine contour.

Chin and jaw

The lower third of the face plays a fundamental role in the perception of masculine features. Among the most commonly used techniques are:

  • chin implants to increase projection
  • remodeling of the mandibular angles
  • volume increase using fat or fillers

These procedures allow for a more defined and angular mandibular contour.

Masculinizing rhinoplasty

The shape of the nose also influences the overall perception of the face. Masculinizing rhinoplasty allows for modification of the nasal structure to create proportions more in line with masculine facial features.

In certain cases, hyaluronic acid can also be used to make adjustments to the nasal contour without surgery.

Facial volume restoration

The distribution of facial volume often differs between men and women. In some cases, liposuction can be performed on specific areas, or fat transfer can be used to modify facial contours. Fat transfer allows for adding volume to areas such as:

  • jaw
  • chin
  • temples
  • supraorbital area

Lip volume reduction

In certain cases, lip reduction can be performed to achieve proportions more in line with masculine facial features. This procedure is performed using techniques that minimize the visibility of scars.

Non-surgical treatments

In some patients, facial masculinization can be complemented with non-invasive treatments designed to improve facial contours. These include:

  • hyaluronic acid fillers
  • botulinum toxin
  • thread lifts for contour definition

These procedures can be used alone or in combination with surgery.

Scars

Location of scars in facial masculinization surgery

The incisions used during facial masculinization procedures are carefully planned to minimize the visibility of scars. The location of the incisions depends on the technique used and the area of the face being modified.

In many cases, surgical approaches are performed in inconspicuous or internal areas, such as inside the mouth, the nasal cavity, or the hairline. This allows scars to remain discreet and blend naturally with the surrounding tissues as the healing process progresses.

Planning these incisions is an essential part of the surgery, as it allows for more harmonious and natural aesthetic results.

Recovery and results

Recovery after facial masculinization surgery

Recovery and results

Recovery after facial masculinization surgery

Thanks to the good blood supply to the facial region, recovery after facial masculinization surgery is usually relatively quick compared to other surgical procedures.

During the first few days, swelling or minor bruising may appear, which generally decreases gradually during the first week. In many cases, patients can resume their daily activities within approximately seven to ten days.

The results of facial masculinization gradually solidify as the tissues heal and the face adapts to the new proportions. The goal of the surgery is to achieve a balanced and natural masculine appearance, always respecting the anatomy and individual characteristics of each patient.

Facial masculinization:
Frequently Asked Questions

FTM facial masculinization is a set of procedures designed to modify certain facial structures to achieve a more masculine appearance in trans men.

Not necessarily. In some cases, several procedures may be combined in a single intervention, while in others they are performed in stages.

Initial recovery usually takes about a week, although it may take several weeks for the tissues to fully stabilise.

Incisions are made in inconspicuous or internal areas, allowing the scars to remain inconspicuous over time.

In certain cases, non-invasive treatments such as facial fillers or botulinum toxin can be used to modify facial contours.

Dr. Richard Fakin
international elite surgeon

Dr. Richard Fakin is Plastic, reconstructive and aesthetic surgeon with solid experience in gender affirmation procedures. He specializes in breast surgery, facial surgery, and advanced body procedures. His practice combines technical precision, aesthetic sensitivity, and a deeply personalized approach to each procedure

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.

As a boutique plastic surgery clinic, the approach is neither massive nor standardized. The team dedicates the necessary time to understand expectations, analyze anatomy, and design a surgical plan precisely tailored to each case. This structure allows us to maintain a high level of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin employs refined surgical techniques that prioritize safety, natural-looking results, and optimized recovery. Meticulous planning and the use of advanced technology allow us to offer harmonious results that reflect each individual's unique identity.

Beyond the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.

Our facilities

Madrid

  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39
  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39

Zurich

  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88
  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88

First consultation free

First consultation free